S.S.

AGRAWAL COLLEGE OF NURSING

TRAINING COLLEGE AND RESEARCH
CENTER,NAVSARI.

SUB - MEDICAL SURGICAL NURSING

TOPIC – Clinical demonstration on Nebulization

SUBMITTED TO, SUBMITTED BY,

MRS.NIKITA PATEL MS AVNIPATEL
ASSISTANT PROFESSOR 1st YEAR M.SC (N)
SSAGCON,NAVSARI SSAGCON,NAVSARI

DATE OF SUBMISSION
18-6-21
HISTORY COLLECTION

INFORMATION DATA
Name – Mr AnilBhai ManguBhai Halpati
Age – 52 year
Sex - Male
Address –udhyog nagar,Navsari
Date of birth -04/09/1969
Education-10th pass
Religion- Hindu
Bed number- 03
Ward- Male medical ward
Medical diagnosis- chronic obstructive pulmonary disease
Surgery- not performed
Occupation- labour work
Date and time of admission-

CHIEF COMPLAINT

Mr Anilbhai is complaining of breathing difficulty ,cough,

mucus production,
fever
fatigue
difficulty during exhaling air
prolonged expiration

HISTORY OF PRESENT MEDICAL ILLNESS

Mr.Anilbhai having present complaints are:

 Chronic coughing
 Dyspnea
 Tightness in the chest
 Respiratory insufficiency
 Increased work of breathing
 Production of purulent sputum

HISTORY OF PRESENT SURGICAL ILLNESS

No any significant data about present surgical illness.

HISTORY OF PAST MEDICAL ILLNESS

Patient having history of asthma since 2 years.& no any other history like,Anemia , seizures,
arthritis,heart disorders.
Trauma , injury- no any significant data about trauma or injury .
Hospitalization- 2 -3 times patient admitted in the hospital for the treatment of the asthma.
Childhood diseases and immunization- No any significant data about childhood
disease,patient taken all the vaccine like,tetanus,hepatitis,mumps,rubella,pertusis.
OUTLINE

 INTRODUCTION
 DEFINITION
 PURPOSE
 INDICATION
 ARTICLE
 PRE-PREPARATION
 PROCEDURE
 AFTER CARE
 COMPLICATION
 NURSING RESPONSIBILITIES
INTRODUCTION

A nebulizer changes liquid medicine into fine droplets (in aerosol or mist form) that are
inhaled through a mouthpiece or mask. Nebulizers can be used to deliver many types of
medicines. The medicines and moisture help control breathing problems like wheezing and
help loosen lung secretions.

A nebulizer might be used instead of other inhalers. A nebulizer is powered by an air

compressor that plugs into an electrical outlet.

DEFINITION

Nebulization is a form of respiratory care. It is the medical process of administering

medication directly by inhalation, with the help of a nebulizer that converts liquid medicine
into mist, which is then given to the patient with the help of a breathing mask. Nebulization is
typically administered to young patients with Asthma, COPD and patients needing
respiratory care for other breathing problems and is unable to use inhalers. Nebulisation is
sometimes also prescribed for severe cases of nasal and chest congestion.

PURPOSE
 To relieve respiratory insufficiency due to bronchospasm.
 To correct the underlying respiratory disorder responsible for bronchospasm
 To liquify and remove retained thick seceretion from the lower respiratory
tract.
 To reduce inflammatory and allergic response the upper respiratory tract
infection.
ADVANTAGES
The advantages of nebulization are as follows;
  Nebulization therapy comes in really handy for little kids who are unable to use any
other inhalation device.
 Nebulization is also quite helpful for the elderly who can’t organize inhalers.
 Nebulization is extremely helpful in an intense asthma attack situation at home for self
use.
 Having a nebulizer at home serves as a great mental boost to the patient that viable help
is nearby in case of need.
 Some extremely serious asthmatics get more help with nebulized drugs as compared
with the standard inhaler devices available.

Disadvantages Of Nebulization:
The disadvantages of nebulization are as follows;

 The cost of nebulization treatment is higher as compared to normal asthma medicine

inhaler. For a short period of time the high cost of nebulization treatment would not
make any difference but in the long run the high cost can become a cause of worry for
most.
 There are odds of transmission of contamination from unsterile chambers or tubing into
the lungs, particularly after long term utilization.
 A considerable measure of medication is wasted through the vapor that escapes from out
from the side of breathing apparatus.

INDICATION
 Delivery of bronchodilator drug
 Bronchospasm
 Chest tightness
 Excessive and thick mucus seceretion
 Respiratory congestion
 Pneumonia
 Atelectasis
 Asthma
CONTRAINDICATION
 Patient with unstable and increased blood pressure
 Cardiac irritability
 Person with increased pulse rate
 Unconscious patient
ARTICLE

 Air compressor
 Nebulizer cup
 Mask or mouthpiece
 Medication (either unit dose vials or bottles with measuring devices)
 Compressor tubing
TYPES OF NEBULIZATION

Jet. This uses compressed gas to make an aerosol (tiny particles of medication in the air).
 Ultrasonic. This makes an aerosol through high-frequency vibrations. The particles are
larger than with a jet nebulizer.

 Mesh. Liquid passes through a very fine mesh to form the aerosol. This kind of nebulizer
puts out the smallest particles. It’s also the most expensive.

PROCEDURE

follow these steps:

 Put the air compressor on a flat, sturdy surface. Plug it into a grounded (three-prong)
electrical outlet.
 Wash your hands with soap and water, and dry them completely.
 Put medication into the nebulizer cup. Most comes already measured in unit dose vials. If
you have to measure it yourself, use a separate clean measuring device for each
medication.
 Assemble the nebulizer cup and mask or mouthpiece.
 Connect the tubing to both the aerosol compressor and the nebulizer cup.
 Turn on the compressor to make sure it’s working the way it should. You should see a
light mist coming from the back of the tube.
 Sit up straight on a comfortable chair. If the treatment is for your child, they can sit on
your lap. If you’re using a mask, put it on. Be sure it’s comfortable and secure. If you’re
using a mouthpiece, put it between your or your child's teeth and seal the lips around it.
 Take slow, deep breaths. If possible, hold each breath for 2 or 3 seconds before breathing
out. This lets the medication settle into your airways.
 Continue until the medication is gone. The nebulizer will make a sputtering noise, and the
cup will have just a little liquid left in it.
 If you get dizzy or jittery, stop the treatment and rest for about 5 minutes. Continue the
treatment, and try to breathe more slowly. If you keep having problems during treatments,
tell your doctor.
How Do I Care for My Nebulizer?
It’s important to clean and disinfect your asthma nebulizer equipment to prevent infection.
Clean it in an area away from smoke, dust, and open windows.
Follow these instructions for cleaning your nebulizer:

 After each treatment, rinse the nebulizer cup thoroughly with warm water, shake off
excess water, and let it air-dry. At the end of each day, wash the cup and mask or
mouthpiece in warm water with a mild detergent. Rinse it thoroughly and let it air-
dry. You don’t need to clean the compressor tubing.
 Every third day, after washing your equipment, disinfect it with either a vinegar/water
solution or a disinfectant solution. To make the vinegar solution, mix ½ cup of white
vinegar with 1½ cups of water. Soak the equipment for 20 minutes and rinse it well
under a steady stream of water. Shake off the excess water and let it air-dry on a paper
towel. Be sure it’s totally dry before storing it in a zippered plastic bag.

Storing

 Cover the compressor with a clean cloth when you’re not using it. Wipe it with a
clean, damp cloth if necessary.
 Don’t put the air compressor on the floor, either for treatments or for storage.
 Store medications in a cool, dry place. Some need to be kept in a refrigerator, and
others should be kept out of the light. Check them often. If they’ve changed color or
formed crystals, throw them out and replace them.

Other tips

 Always have an extra nebulizer cup and mask or mouthpiece on hand. If you get a
breathing treatment in your doctor’s office, ask for the tubing, cup, and mask.
 Follow the equipment directions on checking, cleaning, and replacing the filter on the
air compressor.